Respiratory syncytial virus (RSV) infection is an acute respiratory infection caused by human respiratory syncytial virus (human orthopneumovirus; family Pneumoviridae), a negative-sense single-stranded RNA virus. RSV infects the ciliated respiratory epithelium; its fusion (F) glycoprotein mediates entry and cell-cell fusion producing characteristic multinucleated syncytia. RSV is a leading cause of bronchiolitis and pneumonia in infants and one of the leading infectious causes of infant death worldwide, and is an increasingly recognized cause of serious lower respiratory illness and cardiopulmonary decompensation in older and high-risk adults. Severe early-life RSV is mechanistically linked to later wheezing and asthma, and RSV hospitalization in older adults is associated with subsequent cardiovascular events including heart failure.
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name: Respiratory Syncytial Virus Infection
creation_date: "2026-06-25T12:00:00Z"
description: >
Respiratory syncytial virus (RSV) infection is an acute respiratory infection
caused by human respiratory syncytial virus (human orthopneumovirus; family
Pneumoviridae), a negative-sense single-stranded RNA virus. RSV infects the
ciliated respiratory epithelium; its fusion (F) glycoprotein mediates entry and
cell-cell fusion producing characteristic multinucleated syncytia. RSV is a
leading cause of bronchiolitis and pneumonia in infants and one of the leading
infectious causes of infant death worldwide, and is an increasingly recognized
cause of serious lower respiratory illness and cardiopulmonary decompensation
in older and high-risk adults. Severe early-life RSV is mechanistically linked
to later wheezing and asthma, and RSV hospitalization in older adults is
associated with subsequent cardiovascular events including heart failure.
category: Infectious Disease
parents:
- Viral Respiratory Infection
synonyms:
- RSV infection
- Human respiratory syncytial virus infection
- Human orthopneumovirus infection
disease_term:
preferred_term: respiratory syncytial virus infection
term:
id: MONDO:0001577
label: respiratory syncytial virus infectious disease
infectious_agent:
- name: Human respiratory syncytial virus
infectious_agent_term:
preferred_term: Human respiratory syncytial virus
term:
id: NCBITaxon:11250
label: human respiratory syncytial virus
description: >
A negative-sense, single-stranded RNA virus (Pneumoviridae). The attachment
(G) and fusion (F) surface glycoproteins mediate binding and membrane
fusion; F is the principal target of monoclonal-antibody prophylaxis and
current adult/maternal vaccines.
pathophysiology:
- name: Respiratory Epithelial Infection and Airway Inflammation
description: >
RSV infects ciliated airway epithelial cells, and its fusion protein drives
cell-cell fusion producing multinucleated syncytia. Epithelial injury,
sloughing of necrotic epithelium, mucus hypersecretion, and an inflammatory
cellular infiltrate obstruct the small airways (bronchiolitis), causing air
trapping and ventilation-perfusion mismatch. The host inflammatory and
immune response contributes substantially to disease severity. In older and
high-risk adults the same infection can precipitate cardiopulmonary
decompensation.
cell_types:
- preferred_term: respiratory epithelial cell
term:
id: CL:0002632
label: epithelial cell of lower respiratory tract
- preferred_term: ciliated airway epithelial cell
term:
id: CL:0002145
label: multiciliated columnar cell of tracheobronchial tree
biological_processes:
- preferred_term: viral genome replication
term:
id: GO:0019079
label: viral genome replication
- preferred_term: defense response to virus
term:
id: GO:0051607
label: defense response to virus
- preferred_term: inflammatory response
term:
id: GO:0006954
label: inflammatory response
modifier: INCREASED
locations:
- preferred_term: bronchiole
term:
id: UBERON:0002186
label: bronchiole
- preferred_term: lung
term:
id: UBERON:0002048
label: lung
evidence:
- reference: PMID:27903593
reference_title: "Respiratory Syncytial Virus: Infection, Detection, and New Options for Prevention and Treatment."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Respiratory syncytial virus (RSV) infection is a significant cause of hospitalization of children in North America and one of the leading causes of death of infants less than 1 year of age worldwide, second only to malaria."
explanation: Establishes the major pediatric burden of RSV lower respiratory infection.
- reference: PMID:27903593
reference_title: "Respiratory Syncytial Virus: Infection, Detection, and New Options for Prevention and Treatment."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Compounding the burden of acute RSV infections is the exacerbation of preexisting chronic airway diseases and the chronic sequelae of RSV infection."
explanation: Supports that RSV exacerbates chronic airway disease and has chronic sequelae beyond the acute infection.
- reference: PMID:15858184
reference_title: "Respiratory syncytial virus infection in elderly and high-risk adults."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Respiratory syncytial virus (RSV) is an increasingly recognized cause of illness in adults."
explanation: Supports RSV as an important respiratory pathogen in adults, not only children.
phenotypes:
- category: Respiratory
name: Cough
description: Common feature of upper and lower RSV respiratory illness.
phenotype_term:
preferred_term: Cough
term:
id: HP:0012735
label: Cough
- category: Respiratory
name: Wheezing
description: Small-airway obstruction in RSV bronchiolitis.
phenotype_term:
preferred_term: Wheezing
term:
id: HP:0030828
label: Wheezing
- category: Respiratory
name: Dyspnea
description: Breathlessness from bronchiolitis/pneumonia.
phenotype_term:
preferred_term: Dyspnea
term:
id: HP:0002094
label: Dyspnea
- category: Respiratory
name: Tachypnea
description: Rapid breathing, prominent in infant bronchiolitis.
phenotype_term:
preferred_term: Tachypnea
term:
id: HP:0002789
label: Tachypnea
- category: Respiratory
name: Hypoxemia
description: Low blood oxygen from ventilation-perfusion mismatch.
phenotype_term:
preferred_term: Hypoxemia
term:
id: HP:0012418
label: Hypoxemia
- category: Respiratory
name: Apnea
description: Can occur in young infants with severe RSV.
phenotype_term:
preferred_term: Apnea
term:
id: HP:0002104
label: Apnea
- category: Constitutional
name: Fever
description: Common during acute infection.
phenotype_term:
preferred_term: Fever
term:
id: HP:0001945
label: Fever
treatments:
- name: Supportive Care
description: >
Mainstay of management is supportive (oxygen, hydration, respiratory
support); few specific therapeutics exist.
treatment_term:
preferred_term: Supportive Care
term:
id: NCIT:C15747
label: Supportive Care
evidence:
- reference: PMID:27903593
reference_title: "Respiratory Syncytial Virus: Infection, Detection, and New Options for Prevention and Treatment."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Despite its global impact on human health, there are relatively few therapeutic options available to prevent or treat RSV infection."
explanation: Supports that specific therapeutics are limited and management is largely supportive.
- name: Vaccination
description: >
RSV vaccines (and maternal immunization / monoclonal-antibody prophylaxis)
are now used to prevent severe RSV, including in older adults in whom RSV
drives serious cardiopulmonary outcomes.
treatment_term:
preferred_term: Vaccination
term:
id: NCIT:C15346
label: Vaccination
evidence:
- reference: PMID:40696870
reference_title: "Respiratory Syncytial Virus (RSV)-Related Hospitalization and Increased Rate of Cardiovascular Events in Older Adults."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "they underline the importance of vaccination in this population, regardless of pre-existing risk factors."
explanation: Supports vaccination of older adults to prevent serious RSV-associated outcomes.
- name: Nirsevimab
description: >-
Nirsevimab is a long-acting recombinant monoclonal antibody against the RSV
fusion (F) protein, given as a single injection for passive immunoprophylaxis
of infants before the RSV season. By neutralizing the F protein it blocks
viral entry/fusion, preventing medically attended RSV lower respiratory tract
infection — a broad-spectrum-preventative (passive-immunity) approach.
therapeutic_modality: MONOCLONAL_ANTIBODY
treatment_term:
preferred_term: Pharmacotherapy
term:
id: NCIT:C15986
label: Pharmacotherapy
therapeutic_agent:
- preferred_term: nirsevimab
term:
id: NCIT:C170224
label: Nirsevimab
target_mechanisms:
- target: Respiratory Epithelial Infection and Airway Inflammation
treatment_effect: INHIBITS
description: >-
Nirsevimab neutralizes the RSV fusion (F) protein that drives epithelial
entry and syncytium formation, preventing productive airway-epithelial
infection upstream of bronchiolitis.
evidence:
- reference: PMID:35235726
reference_title: "Nirsevimab for Prevention of RSV in Healthy Late-Preterm and Term Infants."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: >-
A single injection of nirsevimab administered before the RSV season
protected healthy late-preterm and term infants from medically attended
RSV-associated lower respiratory tract infection.
explanation: >-
MELODY randomized-trial evidence that nirsevimab prophylaxis prevents
medically attended RSV lower respiratory tract infection. Evidence source
is HUMAN_CLINICAL as this is a randomized controlled trial.
evidence:
- reference: PMID:35235726
reference_title: "Nirsevimab for Prevention of RSV in Healthy Late-Preterm and Term Infants."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: >-
monoclonal antibody to the RSV fusion protein that has an extended half-life.
explanation: >-
Identifies nirsevimab as a long-half-life monoclonal antibody targeting the
RSV fusion protein. Evidence source is HUMAN_CLINICAL as this is a randomized
controlled trial report.
notes: >
Created as an endpoint entry to support directional comorbidity/trajectory
modeling of RSV infection as an antecedent of cardiovascular events
(heart failure) in older adults and of early-life wheezing/asthma.
datasets:
- accession: geo:GSE281938
title: Porphyromonas gingivalis inhibits Respiratory Syncytial Virus infection while suppressing anti-viral immunity
description: Colonizing microbiota can differentially impact the outcomes of viral infections. While synergistic interactions between invading viruses and specific bacterial colonizers can enhance viral infectivity, resulting in severe disease, other bacteria can play a more antagonistic role by destabilizing viral particles, thus protecting against infection. Here, we explored whether Porphyromonas gingivalis (Pg), a periodontal bacterial pathogen that can translocate to the airways, increases susceptibility to infection with the respiratory syncytial virus (RSV) and Sendai virus (SeV).
organism:
preferred_term: human
term:
id: NCBITaxon:9606
label: Homo sapiens
data_type: BULK_RNA_SEQ
sample_count: 20
publication: PMID:42060722
notes: Identified by GEO DataSets index search for Respiratory Syncytial Virus Infection (scripts/discover_datasets.py); accession and metadata verified against NCBI E-utilities on 2026-08-01. Title, sample count, and organism are GEO's own values.
- accession: geo:GSE77087
title: Nasopharyngeal microbiota, host transcriptome and disease severity in children with respiratory syncytial virus infection
description: 'Rationale: Respiratory syncytial virus (RSV) is the leading cause of acute lower respiratory tract infections and hospitalizations in infants worldwide. Known risk factors, however, incompletely explain the variability of RSV disease severity among children. We postulate that severity of RSV infection is influenced in part by modulation of the host immune response by the local microbial ecosystem at the time of infection. Objectives: To define whether different nasopharyngeal microbiota profiles are associated with distinct host transcriptome profiles and severity in children with RSV infection.'
organism:
preferred_term: human
term:
id: NCBITaxon:9606
label: Homo sapiens
data_type: MICROARRAY
sample_count: 104
publication: PMID:27135599
notes: Identified by GEO DataSets index search for Respiratory Syncytial Virus Infection (scripts/discover_datasets.py); accession and metadata verified against NCBI E-utilities on 2026-08-01. Title, sample count, and organism are GEO's own values.
- accession: geo:GSE263272
title: Human iPS cell-derived respiratory organoids as a model for respiratory syncytial virus infection
description: Respiratory syncytial virus (RSV) is a seasonal respiratory pathogen that primarily affects young children, potentially causing severe lower respiratory tract disease. Despite the high disease burden, understanding of RSV pathophysiology remains limited. To address this, advanced RSV infection models are needed. While HEp-2 cells are widely used due to their high susceptibility to RSV, they do not accurately reflect the host response of the human respiratory tract.
organism:
preferred_term: human
term:
id: NCBITaxon:9606
label: Homo sapiens
data_type: BULK_RNA_SEQ
sample_count: 12
publication: PMID:40262853
notes: Identified by GEO DataSets index search for Respiratory Syncytial Virus Infection (scripts/discover_datasets.py); accession and metadata verified against NCBI E-utilities on 2026-08-01. Title, sample count, and organism are GEO's own values.
- accession: ega:EGAS50000001971
title: TMEM259 alleles modulate respiratory syncytial virus infection and ER-stress-triggered apoptosis
description: 'Whole Exome Sequencing data for the IRIS1, IRIS2, and IRIS3 cohorts. Abstract: Respiratory syncytial virus (RSV) is a main cause of infant morbidity and mortality. Susceptibility factors for severe RSV bronchiolitis in previously healthy children are unclear. We analyze genetic variants in 5,141 genes involved in virus sensing, interferon (IFN) signaling and effector functions in a population of n=101 previously healthy infants with severe RSV bronchiolitis. Comparing the allele frequencies of the patient cohort with the Exome Aggregation Consortium (ExAC) dataset our analysis reveals 94 non-synonymous coding single nucleotide polymorphisms (SNPs) mapping to 79 potential risk genes.'
organism:
preferred_term: human
term:
id: NCBITaxon:9606
label: Homo sapiens
data_type: WES
notes: 'European Genome-phenome Archive study, matched because the disease is named in the study''s own title ("Respiratory Syncytial Virus Infection"); description-level mentions were not accepted. EGA study_type: Exome Sequencing. Controlled access -- data require a Data Access Agreement. EGA metadata retrieved 2026-08-01.'